How did the COVID-۱۹ pandemic affect the referral patterns for SPECT myocardial perfusion? A single center experience

  • سال انتشار: 1402
  • محل انتشار: مجله پزشکی هسته ای و زیست شناسی آسیا اقیانوسیه، دوره: 11، شماره: 2
  • کد COI اختصاصی: JR_JNMB-11-2_004
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 102
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نویسندگان

Saeideh Ataei Nakhaei

Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Emran Askari

Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Hadis Mohammadzadeh

Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Hessamoddin Roustaei

Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Farivash Karamian

Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Sayyed Mostafa Mostafavi

Department of medical informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Atena Aghaee

Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

چکیده

Objective(s): We evaluated the impact of the COVID-۱۹ pandemic on the number of referrals for SPECT myocardial perfusion imaging (SPECT-MPI) as well as changes in the clinical and imaging characteristics.Methods: We respectively reviewed ۱۰۴۲ SPECT-MPI cases performed in a ۴-month period during the COVID-۱۹ pandemic (PAN; n=۴۲۳) and compared their findings with those acquired in the same months before the pandemic (PRE; n=۶۱۹).Results: The number of stress SPECT-MPI studies performed during the PAN period significantly dropped compared to the number of studies carried out in the PRE period (p = ۰.۰۱۴). In the PRE period, the rates of patients presenting with non-anginal, atypical and typical chest pain were ۳۱%, ۲۵% and ۱۹%, respectively. The figures significantly changed in the PAN period to ۱۹%, ۴۲%, and ۱۱%, respectively (all p-values < ۰.۰۰۱). Regarding the pretest probability of coronary artery disease (CAD), a significant decrease and increase were noticed in patients with high and intermediate pretest probability, respectively (PRE: ۱۸% and ۵۵%, PAN: ۶% and ۶۵%, p < ۰.۰۰۱ and ۰.۰۰۸, respectively). Neither the rates of myocardial ischemia nor infarction differed significantly in the PRE vs. PAN study periods.Conclusion: The number of referrals dropped significantly in the PAN era. While the proportion of patients with intermediate risk for CAD being referred for SPECT-MPI increased, those with high pretest probability were less frequently referred. Image parameters were mostly comparable between the study groups in the PRE and PAN periods.

کلیدواژه ها

COVID-۱۹, myocardial perfusion imaging, SPECT-MPI

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